Advertisement

European Archives of Oto-Rhino-Laryngology

, Volume 264, Issue 5, pp 483–488 | Cite as

Ericksonian hypnosis in tinnitus therapy: effects of a 28-day inpatient multimodal treatment concept measured by Tinnitus-Questionnaire and Health Survey SF-36

  • U. H. Ross
  • O. Lange
  • J. Unterrainer
  • R. Laszig
Otology

Abstract

For the first time, the therapeutic effects on subacute and chronic tinnitus of an inpatient multimodal treatment concept based on principles of Ericksonian hypnosis (EH) were examined by standardized criteria of the Tinnitus Questionnaire (TQ) and Health Survey (SF-36) within a controlled prospective, longitudinal study. A total of 393 patients were treated within an inpatient closed-group 28-day-setting based on a resource-oriented, hypnotherapeutic concept. The severity of tinnitus was assessed by TQ at times of admission, discharge and also at a 6- and 12-month follow-up. Health-related quality of life was evaluated before and after therapy using the SF-36. After therapy, a decrease in TQ score was seen in 90.5% of the patients with subacute tinnitus and in 88,3% of those with chronic tinnitus. Assessment of the TQ score at the end of therapy revealed highly significant improvements of 15.9/14.1 points in mean. Effect sizes in the treatment groups (0.94/0.80) were superior to those in the waiting-list controls (0.14/0.23). The TQ score remained stable in the follow-up controls. Significant improvement in health-related quality of life has been observed within the treatment groups depending on initial level of tinnitus serverity I–IV according to TQ. Using a multimodal treatment concept with emphasis on resource-activating approaches of EH the annoyance of tinnitus can be significantly reduced while health-related quality of life is enhanced within a comparatively short treatment period of 28 days.

Keywords

Subjective tinnitus Quality of life Behavioural medicine Psychotherapy Hearing loss 

References

  1. 1.
    Attias J, Shemesh Z, Haim S, Gold S, Shoham C, Garaggi D (1993) Comparison between self-hypnosis, masking and attentiveness for alleviation of chronic tinnitus. Audiology 32:205–212PubMedGoogle Scholar
  2. 2.
    Biesinger E, Heiden C, Greimel V, Lendle T, Höing R, Albegger K (1998) Strategien in der ambulanten Behandlung des Tinnitus (Strategies in outpatient treatment of tinnitus). HNO 46:157–169PubMedCrossRefGoogle Scholar
  3. 3.
    Bullinger M, Kirchberger I (1998) SF-36 Fragebogen zum Gesundheitszustand. Hogrefe, Göttingen (German version of [25])Google Scholar
  4. 4.
    Delb W, D’Amelio R, Boisten CJM, Plinkert PK (2002) Kombinierte Anwendung von Tinnitusretrainingtherapie (TRT) und Gruppenverhaltenstherapie (Evaluation of the TRT as combined with a cognitive behavioural group therapy). HNO 50:997–1004PubMedCrossRefGoogle Scholar
  5. 5.
    Flammer E, Bongartz W (2003) The efficacy of hypnosis: a meta-analytic study. Contemp Hypn 20:179–197CrossRefGoogle Scholar
  6. 6.
    Gerl W (2001) Ressourcen- und Zielorientierung (Ressource- and goal-orientation). In: Revenstorf D, Peter B (eds) Hypnose in Psychotherapie, Psychosomatik und Medizin (Hypnosis in psychotherapy, psychosomatic and general medicine). Springer, Heidelberg, pp 240–268Google Scholar
  7. 7.
    Gilligan S (1987) Therapeutic trances: the cooperation principle in ericksonian hypnotherapy. Taylor and Francis, New YorkGoogle Scholar
  8. 8.
    Gilligan S (1997) The courage to love. Principles and practices of self-relations psychotherapy. Norton, New YorkGoogle Scholar
  9. 9.
    Goebel G, Hiller W (1998) Tinnitus-Fragebogen (TF). Ein Instrument zur Erfassung von Belastung und Schweregrad bei Tinnitus (Manual). Hogrefe, Göttingen (German version of [11])Google Scholar
  10. 10.
    Halama P (1992) Erfahrungen mit der Hypnosetherapie bei ambulanten Patienten, die unter Tinnitus leiden. Vergleichende Pilotstudie (Hypnotherapy in patients who are suffering from buzzing in the ear (tinnitus)—a comparing pilot sudy). Exp Klin Hypnose 8:49–69Google Scholar
  11. 11.
    Hallam RS (1996) Manual of the tinnitus questionnaire (TQ). Psychological Corporation, LondonGoogle Scholar
  12. 12.
    Hazell JWP (1999) The TRT method in practice. In: Hazell J (ed) Proceedings of the 6th international tinnitus seminar. Hawthorn, Norfolk, Cambridge, pp 92–98Google Scholar
  13. 13.
    Hesse G, Rienhoff NK, Nelting M, Laubert A (2001) Ergebnisse stationärer Therapie bei Patienten mit chronisch komplexem Tinnitus (Chronic complex tinnitus: therapeutic results of in-patient treatment). Laryngol Rhino Otol 80:503–508CrossRefGoogle Scholar
  14. 14.
    Jastreboff PJ, Hazell JWP (1993) A neurophysiological approach to tinnitus: clinical applications. Br J Audiol 27:7–17PubMedGoogle Scholar
  15. 15.
    Kaye JM, Marlowe FI, Ramshandani D, Berman S, Schindler B, Loscalzo G (1994) Hypnosis as an aid for tinnitus patients. Ear Nose Throat J 73:309–312PubMedGoogle Scholar
  16. 16.
    Kirsch I, Montgomery G, Sapirstein G (1995) Hypnosis as an adjunct to cognitive-behavioral psychotherapy: a meta analysis. J Consult Clin Psychol 63:214–220PubMedCrossRefGoogle Scholar
  17. 17.
    Kröner-Herwig B, Frenzel A, Fritsche G, Schilkowsky G, Esser G (2003) The management of chronic tinnitus. Comparison of an outpatient cognitive-behavioral group training to minimal-contact interventions. J Psychosom Res 54:381–389PubMedCrossRefGoogle Scholar
  18. 18.
    MacLeod C, Hagan R (1992) Individual differences in the selective processing of threatening information, and emotional responses to a stressful life event. Behav Res Ther 30:151–161PubMedCrossRefGoogle Scholar
  19. 19.
    Mason JD, Rogerson DR, Butler JD (1996) Client centred hypnotherapy—is it better than counselling? J Laryngol Otol 110:117–120PubMedGoogle Scholar
  20. 20.
    Nelting M, Schaaf H, Rienhoff NK, Hesse G (1999) Katamnesis-study 1 or 2 years after in-patient treatment. In: Proceedings of the 6th international tinnitus seminar. Hawthorn Norfolk, Cambridge, pp 558–559Google Scholar
  21. 21.
    Rainville P, Hofbauer RK, Paus T, Duncan GH, Bushnell MC, Price DD (1999) Cerebral mechanisms of hypnotic induction and suggestion. J Cogn Neurosci 11:110–125PubMedCrossRefGoogle Scholar
  22. 22.
    Rossi EL, Cheek DB (1994) Mind body therapy. Methods of ideodynamic healing in hypnosis. Norton, New York, LondonGoogle Scholar
  23. 23.
    Schmidt G (1985) Gedanken zum Erickson’schen Ansatz aus einer systemischen Perspektive. (Thoughts on the Ericksonian approach from a systemic therapy view). In: Peter B (ed) Hypnose und Psychotherapie nach. Milton H. Erickson, Pfeiffer, Munich, pp 31–57Google Scholar
  24. 24.
    Shiffrin RM, Schneider W (1977) Controlled and automatic human information processing: II. Perceptual learning, automatic attention, and a general theory. Psychol Rev 84:127–190CrossRefGoogle Scholar
  25. 25.
    Ware JE, Snow KK, Kosinski M, Gandek B (1993) SF-36 Health survey manual and interpretation guide. New England Medical Center, The Health Institute, BostonGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • U. H. Ross
    • 1
  • O. Lange
    • 2
  • J. Unterrainer
    • 3
  • R. Laszig
    • 4
  1. 1.Practice for Otorhinolaryngology and PsychotherapyLuisenstrasse 6FreiburgGermany
  2. 2.Institute of Environmental Medicine and Hospital EpidemiologyUniversity of FreiburgFreiburgGermany
  3. 3.Department of NeuropsychologyUniversity of FreiburgFreiburgGermany
  4. 4.Department of OtorhinolaryngologyUniversity of FreiburgFreiburgGermany

Personalised recommendations